MS. SHAN MARIE STOFFOLANO (NPI# 1669692661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669692661 |
| Entity Type | Individual |
| Full Name | MS. SHAN MARIE STOFFOLANO |
| Credential | M.S., C.P.N.P. |
| Practice Address |
22 Hillside Ave Groton MA 01450-1284 |
| Mailing Address |
62 Park St Pepperell MA 01463-1117 |
| Practice Telephone | 9784483388 |
| Mailing Telephone | 9784330590 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
235651-NP | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22 HILLSIDE AVE |
| City | GROTON |
| State | MA |
| Zip Code | 01450-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286158 | Seven Hills Extended Care At Groton, Inc. | Skilled Nursing Facility | 22 Hillside Ave, Groton, MA 01450-1284 | 2005-12-20 |
| 1407241201 | Melody Nguyen | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450-1284 | 2015-03-30 |
| 1467755702 | Trustees of Tufts University | Clinic/Center | 22 Hillside Ave, Groton, MA 01450 | 2010-12-08 |
| 1679794820 | Amy Conrey Stevens | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
| 1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
| 1275796351 | Groton Medical Wellness Spa LLC | Acupuncturist | 493 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1629231709 | Groton Dental Wellness Center | Dental Hygienist | 495 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
| 1609085083 | Nancy Douglas Foster | Nurse Practitioner | 282 Farmers Row, Groton, MA 01450 | 2007-05-22 |
| 1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
| 1801942768 | Palm Lorraine Riposa | Registered Nurse | 144 Clinics One, Boston, MA 01450 | 2007-01-25 |
| 1316001233 | Mark Lane Randall | Dentist | 16a Hollis St., Groton, MA 01450 | 2006-12-22 |
| 1346359957 | John P Scollard | Social Worker | 145 Lowell Road, Groton, MA 01450 | 2006-08-29 |
| Find all providers in zip 01450 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215209069 | Meghan Danielle Aldrich | Nurse Practitioner | 120 Boston Rd Ste 1, Groton, MA 01450-1860 | 2012-02-08 |
| 1538158332 | Jayne Laurin Kinney | Nurse Practitioner | 100 Boston Road, Suite F, Groton, MA 01450-0000 | 2005-10-14 |
| 1407241201 | Melody Nguyen | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450-1284 | 2015-03-30 |
| 1013359900 | Susan Jensen | Nurse Practitioner | 100 Boston Rd, Suite F, Groton, MA 01450-1879 | 2013-07-22 |
| 1083861504 | Dana Katter Oliver | Nurse Practitioner | 100 Boston Rd, Suite F, Groton, MA 01450-1879 | 2008-08-27 |
| 1740443746 | Timothy Peter Brender | Nurse Practitioner | 1 Wahoo Ave, Groton, CT 06349-2324 | 2008-07-09 |
| 1679794820 | Amy Conrey Stevens | Nurse Practitioner | 22 Hillside Ave, Groton, MA 01450 | 2007-05-02 |
| 1548331390 | Judith Blackman-cockran | Nurse Practitioner | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SHAN MARIE STOFFOLANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.